I'm not sure if is something your insurance company allows, but all the therapists and pdocs in my area have gone to "not accepting insurance". I just pay up front (yeah, OUCH, it hurts), but then I fill out my insurance companies form for payment of services to be paid directly to me. All I need to do is prove that I received the service and what I paid. My therapist assists me with this by providing me with a letter when I request one. It lists my diagnosis, her license number, the dates I attended sessions and the amount I paid. I have never been denied my payment. . . .although they take their sweet time I've been seeing her for three years and I just asked her recently if my insurance company had ever contacted her see when about she thought I might be done with therapy . . . she's never heard from them in the entire three years that I've seen her.